BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TRIADYNNE A PROVENTA

    MDR report key: 3204026 · Received June 27, 2013

    Report

    Report Number
    MW5030729
    Event Type
    Injury
    Date Received
    June 27, 2013
    Date of Event
    April 27, 2013
    Report Date
    June 27, 2013
    Manufacturer
    KCL
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    TRIADYNNE BED CAUSED EXCORIATION OF LEFT EAR AND PRESSURE ULCERS ON SACRUM AND COCCYX AREA. THERAPY DATES: (B)(6) 2013.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    293103 TRIADYNNE A PROVENTA TRIADYNEA PROVENTA KCL FNL KCL

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Hospitalization| R